Left atrial function during exercise stress echocardiography as a sign of paroxysmal/persistent atrial fibrillation
Issued Date
2024-11-04
Resource Type
eISSN
14767120
Scopus ID
2-s2.0-85208476069
Pubmed ID
39491022
Journal Title
Cardiovascular ultrasound
Volume
22
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Cardiovascular ultrasound Vol.22 No.1 (2024) , 13
Suggested Citation
Zagatina A., Ciampi Q., Peteiro J.V., Kalinina E., Begidova I., Padang R., Boshchenko A., Merli E., Lisi M., Rodriguez-Zanella H., Kobal S., Agoston G., Varga A., Wierzbowska-Drabik K., Kasprzak J.D., Arbucci R., Zhuravleva O., Čelutkienė J., Lowenstein J., Ratanasit N.C., Colonna P., Carerj S., Pepi M., Pellikka P.A., Picano E., Barbieri A., Benfari G., Bartolacelli Y., Villarraga H.R., Kane G.C., Arruda-Olson A.M., Vazquez J.P., Dedic S., Tesic M., Giga V., Boskovic N., Djordievic-Dikic A., Dekleva M., Nikolic A., Timofeeva T., Safarova A., Ryabova T., Sviazova N., Haberka M., Kasprzak J.D., Celutkiene J., Manganelli F., Costantino M.F., Dentamaro I., Re F., Bursi F., Rigo F., Bossone E., Cocchia R., Citro R., Del Franco A., Olivotto I., D’Alfonso M.G., Mori F., Morrone D., Tuttolomondo D., Gaibazzi N., D’Andrea A., Cortigiani L., Villari B., Palinkas E.D., Sepp R., Palinkas A., Wang Y.H., Qingfeng Z., Geqi D., Hongmei Z., Wang Y., Simova I., Camarozano A.C., Borguezan-Daros C., Preradović T.K., Stanetic B., Ostojic M., Van De Heyning C.M., Saad A., Souto G., Carral P., Salamé M., Mosto H., Amor M., Merlo P.M., Marconi S., Haber D.M.L. Left atrial function during exercise stress echocardiography as a sign of paroxysmal/persistent atrial fibrillation. Cardiovascular ultrasound Vol.22 No.1 (2024) , 13. doi:10.1186/s12947-024-00332-0 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/102020
Title
Left atrial function during exercise stress echocardiography as a sign of paroxysmal/persistent atrial fibrillation
Author(s)
Zagatina A.
Ciampi Q.
Peteiro J.V.
Kalinina E.
Begidova I.
Padang R.
Boshchenko A.
Merli E.
Lisi M.
Rodriguez-Zanella H.
Kobal S.
Agoston G.
Varga A.
Wierzbowska-Drabik K.
Kasprzak J.D.
Arbucci R.
Zhuravleva O.
Čelutkienė J.
Lowenstein J.
Ratanasit N.C.
Colonna P.
Carerj S.
Pepi M.
Pellikka P.A.
Picano E.
Barbieri A.
Benfari G.
Bartolacelli Y.
Villarraga H.R.
Kane G.C.
Arruda-Olson A.M.
Vazquez J.P.
Dedic S.
Tesic M.
Giga V.
Boskovic N.
Djordievic-Dikic A.
Dekleva M.
Nikolic A.
Timofeeva T.
Safarova A.
Ryabova T.
Sviazova N.
Haberka M.
Kasprzak J.D.
Celutkiene J.
Manganelli F.
Costantino M.F.
Dentamaro I.
Re F.
Bursi F.
Rigo F.
Bossone E.
Cocchia R.
Citro R.
Del Franco A.
Olivotto I.
D’Alfonso M.G.
Mori F.
Morrone D.
Tuttolomondo D.
Gaibazzi N.
D’Andrea A.
Cortigiani L.
Villari B.
Palinkas E.D.
Sepp R.
Palinkas A.
Wang Y.H.
Qingfeng Z.
Geqi D.
Hongmei Z.
Wang Y.
Simova I.
Camarozano A.C.
Borguezan-Daros C.
Preradović T.K.
Stanetic B.
Ostojic M.
Van De Heyning C.M.
Saad A.
Souto G.
Carral P.
Salamé M.
Mosto H.
Amor M.
Merlo P.M.
Marconi S.
Haber D.M.L.
Ciampi Q.
Peteiro J.V.
Kalinina E.
Begidova I.
Padang R.
Boshchenko A.
Merli E.
Lisi M.
Rodriguez-Zanella H.
Kobal S.
Agoston G.
Varga A.
Wierzbowska-Drabik K.
Kasprzak J.D.
Arbucci R.
Zhuravleva O.
Čelutkienė J.
Lowenstein J.
Ratanasit N.C.
Colonna P.
Carerj S.
Pepi M.
Pellikka P.A.
Picano E.
Barbieri A.
Benfari G.
Bartolacelli Y.
Villarraga H.R.
Kane G.C.
Arruda-Olson A.M.
Vazquez J.P.
Dedic S.
Tesic M.
Giga V.
Boskovic N.
Djordievic-Dikic A.
Dekleva M.
Nikolic A.
Timofeeva T.
Safarova A.
Ryabova T.
Sviazova N.
Haberka M.
Kasprzak J.D.
Celutkiene J.
Manganelli F.
Costantino M.F.
Dentamaro I.
Re F.
Bursi F.
Rigo F.
Bossone E.
Cocchia R.
Citro R.
Del Franco A.
Olivotto I.
D’Alfonso M.G.
Mori F.
Morrone D.
Tuttolomondo D.
Gaibazzi N.
D’Andrea A.
Cortigiani L.
Villari B.
Palinkas E.D.
Sepp R.
Palinkas A.
Wang Y.H.
Qingfeng Z.
Geqi D.
Hongmei Z.
Wang Y.
Simova I.
Camarozano A.C.
Borguezan-Daros C.
Preradović T.K.
Stanetic B.
Ostojic M.
Van De Heyning C.M.
Saad A.
Souto G.
Carral P.
Salamé M.
Mosto H.
Amor M.
Merlo P.M.
Marconi S.
Haber D.M.L.
Author's Affiliation
Siriraj Hospital
Cardiology Research lnstitute, Tomsk National Research Medical Center, Russian Academy of Sciences
Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari
Ospedale per gli Infermi di Faenza
IRCCS Centro Cardiologico Monzino
Belgrade University School of Medicine
Vilniaus Universitetas
Soroka University Medical Center
Szegedi Tudományegyetem (SZTE)
Universidade da Coruña
Ospedale S. Maria delle Croci
Università degli Studi di Messina, Facoltà di Medicina e Chirurgia
Instituto Nacional de Cardiologia Ignacio Chavez
Medical University of Lodz
Mayo Clinic
Research Scientific Cardiocenter “Medika”
Investigaciones Médicas
Fatebenefratelli Hospital of Benevento
Cardiology Research lnstitute, Tomsk National Research Medical Center, Russian Academy of Sciences
Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari
Ospedale per gli Infermi di Faenza
IRCCS Centro Cardiologico Monzino
Belgrade University School of Medicine
Vilniaus Universitetas
Soroka University Medical Center
Szegedi Tudományegyetem (SZTE)
Universidade da Coruña
Ospedale S. Maria delle Croci
Università degli Studi di Messina, Facoltà di Medicina e Chirurgia
Instituto Nacional de Cardiologia Ignacio Chavez
Medical University of Lodz
Mayo Clinic
Research Scientific Cardiocenter “Medika”
Investigaciones Médicas
Fatebenefratelli Hospital of Benevento
Corresponding Author(s)
Other Contributor(s)
Abstract
OBJECTIVE: Atrial cardiomyopathy is closely associated with atrial fibrillation (AF), and some patients exhibit no dysfunction at rest but demonstrate evident changes in left atrial (LA) function and LA volume during exercise. This study aimed to identify distinguishing signs during exercise stress echocardiography (ESE) among patients in sinus rhythm (SR), with and without history of paroxysmal/persistent AF (PAF). METHODS: A prospective cohort of 1055 patients in SR was enrolled across 12 centers. The main study cohort was divided into two groups: the modeling group (n = 513) and the verification group (n = 542). All patients underwent ESE, which included B-lines, LA volume index (LAVi), and LA strain of the reservoir phase (LASr). RESULTS: Age, resting and stress LAVi and LASr, and B-lines were identified as a combination of detectors for PAF in both groups. In the entire cohort, aside from resting and stress LAVi and LASr, additional parameters differentiating PAF and non-PAF patients were the presence of systemic hypertension, exercise E/e' > 7, worse right ventricle (RV) contraction during exercise (∆ tricuspid annular plane systolic excursion < 5 mm), a lower left ventricular contractile reserve (< 1.6), and a reduced chronotropic reserve (heart rate reserve < 1.64). The composite score, summing all 9 items, yielded a score of > 4 as the best sensitivity (79%) and specificity (65%). CONCLUSION: ESE can complement rest echocardiography in the identification of previous PAF in patients with SR through the evaluation of LA functional reservoir and volume reserve, LV chronotropic, diastolic, and systolic reserve, and RV contractile reserve.